临床试验设计用于评估和利用癌症进化.
Alvaro H Ingles Garces1, Nuria Porta2, Trevor A Graham3
1Drug Development Unit, The Institute of Cancer Research and The Royal Marsden NHS Foundation Trust, UK.
Cancer treatment reviews
|June 18, 2023
概括
了解癌症 了解癌症
科学领域:
- 在瘤学瘤学.
- 癌症生物学 癌症生物学
- 进化医学是一种进化医学.
背景情况:
- 癌症的耐药性导致治疗失败.
- 克隆进化和附带敏感性可以建模.
- 细胞对细胞的竞争影响了瘤人口动态.
研究的目的:
- 探索癌症治疗的新型治疗策略.
- 提出新的临床试验设计,以引导癌症的演变.
- 为了利用对克隆动态的理解来改善患者的治疗结果.
主要方法:
- 模拟克隆进化和附带敏感性的建模.
- 研究细胞对营养物质/血液供应的细胞竞争.
- 使用下一代测序进行纵向克隆动态评估.
主要成果:
- 临床前证据支持克隆进化的建模群.
- 最初的治疗可以有利地影响后续反应.
- 利用细胞-细胞竞争表明间歇性剂量或治疗循环.
结论:
- 癌症进化可以在治疗上被利用.
- 需要新的临床试验设计,以纳入进化原理.
- 对克隆动态的纵向评估将增强响应/抵抗的评估.
相关概念视频
Cancer Survival Analysis
402
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
402
Clinical Trials
6.9K
Clinical trials are prospective experimental studies conducted on humans to determine the safety and efficacy of treatments, drugs, diet methods, and medical devices. Using statistics in clinical trials enables researchers to derive reasonable and accurate conclusions from the collected data, allowing them to make wise decisions in uncertain situations. In medical research, statistical methods are crucial for preventing errors and bias.
There are four phases in a clinical trial. A phase one...
There are four phases in a clinical trial. A phase one...
6.9K
Combination Therapies and Personalized Medicine
5.0K
Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
5.0K
Clinical Trials: Overview
3.0K
Clinical development focuses on how the drug will interact with the human body and encompasses four key phases of clinical trials, each serving a specific purpose in assessing the safety and effectiveness of new drugs. These phases overlap and build upon one another. Phase I involves a small group of healthy volunteers (typically 20-80 individuals) or, in cases where significant toxicity is expected, patients with the targeted disease, such as cancer or AIDS. The volunteers are tested for...
3.0K
Mouse Models of Cancer Study
5.6K
Mice have long served as models for studying human biology and pathology because of their phylogenetic and physiological similarity with humans. They are also easy to maintain and breed in the laboratory, and hence, many inbred strains are now available for research. Studies on mice have contributed immeasurably to our understanding of cancer biology.
The development of transgenic, knockout, and knock-in mice has led to an exponential increase in their use as model organisms in research,...
The development of transgenic, knockout, and knock-in mice has led to an exponential increase in their use as model organisms in research,...
5.6K
Adaptive Mechanisms in Cancer Cells
5.8K
Cancer cells accumulate genetic changes at an abnormally rapid rate due to the defects in the DNA repair mechanisms. From an evolutionary perspective, such genetic instability is advantageous for cancer development. Mutant cell lines accumulate a series of beneficial mutations that contribute to their progression into cancer.
Some of the advantages that cancer cells have on normal cells include - enhanced ability to divide without terminally differentiating, induce new blood vessel formation,...
Some of the advantages that cancer cells have on normal cells include - enhanced ability to divide without terminally differentiating, induce new blood vessel formation,...
5.8K


